Provider Demographics
NPI:1104261650
Name:NORTH PORT RETIREMENT CENTERS, INC.
Entity type:Organization
Organization Name:NORTH PORT RETIREMENT CENTERS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF RESIDENT CARE
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:ECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:941-764-6577
Mailing Address - Street 1:24949 SANDHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33983-5299
Mailing Address - Country:US
Mailing Address - Phone:941-764-6577
Mailing Address - Fax:941-764-8767
Practice Address - Street 1:24949 SANDHILL BLVD
Practice Address - Street 2:
Practice Address - City:PUNTA GORDA
Practice Address - State:FL
Practice Address - Zip Code:33983
Practice Address - Country:US
Practice Address - Phone:941-764-6577
Practice Address - Fax:941-764-8767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-09
Last Update Date:2013-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility